Infections and immune disturbances: clinical-based outcomes

Whatever their level or type of sport practice, athletes are exposed to infectious diseases or immune-related problems. This susceptibility is partly explained by exercise-induced immuno-suppression. Moreover, many athletes are exposed to either pathogens or physico-chemical influences while practising their sports. Indeed, the respiratory tract, the digestive tract as well as the skin and mucosa can be seriously challenged in some aerobic outdoor or indoors sports as well as in some contact sports. At the upper respiratory tract level, and especially after exercise-associated hyperventilation, symptoms may develop, but it is sometimes difficult for the medical staff to confirm any infectious origin. Allergic rhinitis and bronchial hyper-reactivity are some clinical examples. Indeed, exercise-induced rhinitis affects more than a third of the athletes, whereas allergic diseases affect around half of the athletic population. Epstein-Barr virus reactivations as well as uncommon viral attacks are also possible in high level athletes. The gut is also a barrier that is sometimes challenged in travelling athletes. Gastro-intestinal infection is the second infectious reason for an athlete not to train or compete. Every sport physician should recognize serious symptoms and prevent her or his athlete from further intense exercise. More recently, it has been shown that Non Steroidian Anti Inflammatory drugs compromise the barrier integrity and promote subsequent bacterial translocation and its associated local and systemic inflammation. Skin infections are quite frequent but often neglected or under-diagnosed by both athlete and their medical staff. Nevertheless, several studies have reported high percentage of contamination (man to man or mat to man) in sports like wrestling or judo. Furthermore, the clinical features of the disease are generally not consistent with those displayed by the general population. Last but not least, sub-chronic and paucisymptomatic viral or parasitic infections may represent a real diagnostic challenge for the clinician. Such a medical condition should always be considered when athletes demonstrate unexplained fatigue or decrease in performance. Among these conditions, the viral myocarditis is one the most potentially harmful one, but its detection and treatment is still controversial in high level athletes

Quantifying the PR interval pattern during dynamic exercise and recovery.

International audienceWe present a novel analysis tool for time delay estimation in electrocardiographic signal processing. This tool enhances PR interval estimation (index of the atrioventricular conduction time) by limiting the distortion effect of the T wave overlapping the P wave at high heart rates. Our approach consists of modeling the T wave, cancelling its influence, and finally estimating the PR intervals during exercise and recovery with the proposed generalized Woody method. Different models of the T wave are presented and compared in a statistical summary that quantitatively justifies the improvements introduced by this study. Among the different models tested, we found that a piecewise linear function significantly reduces the T wave-induced bias in the estimation process. Combining this modeling with the proposed time delay estimation method leads to accurate PR interval estimation. Using this method on real ECGs recorded during exercise and its recovery, we found: 1) that the slopes of PR interval series in the early recovery phase are dependent on the subjects' training status (average of the slopes for sedentary men = 0.11 ms/s, and for athlete men = 0.28 ms/s), and 2) an hysteresis phenomenon exists in the relation PR/RR intervals when data from exercise and recovery are compared

The impact of sleeping with reduced glycogen stores on immunity and sleep in triathletes.

PURPOSE: We investigated the effects of a 3-week dietary periodization on immunity and sleep in triathletes. METHODS: 21 triathletes were divided into two groups with different nutritional guidelines during a 3-week endurance training program including nine twice a day sessions with lowered (SL group) or maintained (CON group) glycogen availability during the overnight recovery period. In addition to performance tests, sleep was monitored every night. Systemic and mucosal immune parameters as well as the incidence of URTI were monitored every week of the training/nutrition protocol. Two-ways ANOVA and effect sizes were used to examine differences in dependent variables between groups at each time point. RESULTS: The SL group significantly improved 10 km running performance (-1 min 13 s, P < 0.01, d = 0.38), whereas no improvement was recorded in the CON group (-2 s, NS). No significant changes in white blood cells counts, plasma cortisol and IL-6 were recorded over the protocol in both groups. The vitamin D status decreased in similar proportions between groups, whereas salivary IgA decreased in the SL group only (P < 0.05, d = 0.23). The incidence of URTI was not altered in both groups. All participants in both groups went to bed earlier during the training program (SL -20 min, CON -27 min, P < 0.05, d = 0.28). In the SL group, only sleep efficiency slightly decreased by 1.1 % (P < 0.05, d = 0.25) and the fragmentation index tended to increase at the end of the protocol (P = 0.06). CONCLUSION: Sleeping and training the next morning regularly with reduced glycogen availability has minimal effects on selected markers of immunity, the incidence of URTI and sleeping patterns in trained athletes

Monopole annihilation at the electroweak scale---Not!

We examine the issue of monopole annihilation at the electroweak scale induced by flux tube confinement, concentrating first on the simplest possibility---one which requires no new physics beyond the standard model. Monopoles existing at the time of the electroweak phase transition may trigger $W$ condensation which can confine magnetic flux into flux tubes. However we show on very general grounds, using several independent estimates, that such a mechanism is impotent. We then present several general dynamical arguments constraining the possibility of monopole annihilation through any confining phase near the electroweak scale.Comment: 15 p

Kondo Effect in Electromigrated Gold Break Junctions

We present gate-dependent transport measurements of Kondo impurities in bare gold break junctions, generated with high yield using an electromigration process that is actively controlled. Thirty percent of measured devices show zero-bias conductance peaks. Temperature dependence suggests Kondo temperatures \~7K. The peak splitting in magnetic field is consistent with theoretical predictions for g=2, though in many devices the splitting is offset from 2guB by a fixed energy. The Kondo resonances observed here may be due to atomic-scale metallic grains formed during electromigration.Comment: 5 pages, 3 figure

Theory of the Fano Resonance in the STM Tunneling Density of States due to a Single Kondo Impurity

The conduction electron density of states nearby single magnetic impurities, as measured recently by scanning tunneling microscopy (STM), is calculated, taking into account tunneling into conduction electron states only. The Kondo effect induces a narrow Fano resonance in the conduction electron density of states, while scattering off the d-level generates a weakly energy dependent Friedel oscillation. The line shape varies with the distance between STM tip and impurity, in qualitative agreement with experiments, but is very sensitive to details of the band structure. For a Co impurity the experimentally observed width and shift of the Kondo resonance are in accordance with those obtained from a combination of band structure and strongly correlated calculations.Comment: 4 pages, ReVTeX + 4 figures (Encapsulated Postscript), submitted to PR

Nonequilibrium Transport through a Kondo Dot in a Magnetic Field: Perturbation Theory

Using nonequilibrium perturbation theory, we investigate the nonlinear transport through a quantum dot in the Kondo regime in the presence of a magnetic field. We calculate the leading logarithmic corrections to the local magnetization and the differential conductance, which are characteristic of the Kondo effect out of equilibrium. By solving a quantum Boltzmann equation, we determine the nonequilibrium magnetization on the dot and show that the application of both a finite bias voltage and a magnetic field induces a novel structure of logarithmic corrections not present in equilibrium. These corrections lead to more pronounced features in the conductance, and their form calls for a modification of the perturbative renormalization group.Comment: 16 pages, 7 figure

Consensus Statement Immunonutrition and Exercise.

In this consensus statement on immunonutrition and exercise, a panel of knowledgeable contributors from across the globe provides a consensus of updated science, including the background, the aspects for which a consensus actually exists, the controversies and, when possible, suggested directions for future research

Crossover from Kondo assisted suppression to co-tunneling enhancement of tunneling magnetoresistance via ferromagnetic nanodots in MgO tunnel barriers

Recently, it has been shown that magnetic tunnel junctions with thin MgO tunnel barriers exhibit extraordinarily high tunneling magnetoresistance (TMR) values at room temperature1, 2. However, the physics of spin dependent tunneling through MgO barriers is only beginning to be unravelled. Using planar magnetic tunnel junctions in which ultra-thin layers of magnetic metals are deposited in the middle of a MgO tunnel barrier here we demonstrate that the TMR is strongly modified when these layers are discontinuous and composed of small pancake shaped nanodots. At low temperatures, in the Coulomb blockade regime, for layers less than ~1 nm thick, the conductance of the junction is increased at low bias consistent with Kondo assisted tunneling. In the same regime we observe a suppression of the TMR. For slightly thicker layers, and correspondingly larger nanodots, the TMR is enhanced at low bias, consistent with co-tunneling.Comment: Nano Letters (in press